Individual provider Active NPI

Nicole Seamon-Soposki, LMHC

  • Mental Health Counselor
  • Utica, NY
National Provider Identifier
1730062183
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
016420 Issued in NY
Practice address
1002 Oswego St
Utica, NY 13502-5031
Phone
(315) 798-8868
Fax
(315) 733-7105
NPI assigned
Jul 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 016420 NY Primary

Addresses

Primary practice location

1002 Oswego St
Utica, NY 13502-5031

Mailing address

918 County Highway 23
Richfield Springs, NY 13439-4740
Phone (315) 868-9814

Other practice location 1

918 County Highway 23
Richfield Springs, NY 13439-4740
Phone (315) 868-9814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250909000026 NY Practitioner - Mental Health Counselor 4486156486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Cerebral Palsy IncGroup PAC ID 5496734758, 30 clinicians

Practice addresses (Care Compare)

1601 Armory Dr
Utica, NY 13501-5405
Phone (315) 798-8868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016420NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Cerebral Palsy, Inc Mental Health Current Accepting new patients
Upstate Cerebral Palsy, Inc. CurrentSince Jul 25, 2025 Accepting new patients

Locations

125 Business Park Dr
Utica, NY 13502
Phone (315) 724-6907

1002 Oswego St
Utica, NY 13502
Phone (315) 798-8868

1601 Armory Dr
Utica, NY 13501
Phone (315) 798-4006

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1730062183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 COUNTY HIGHWAY 23",
            "city": "RICHFIELD SPRINGS",
            "state": "NY",
            "postal_code": "134394740",
            "telephone_number": "315-868-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 OSWEGO ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025031",
            "telephone_number": "315-798-8868",
            "fax_number": "315-733-7105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "918 County Highway 23",
            "address_purpose": "LOCATION",
            "city": "Richfield Springs",
            "state": "NY",
            "postal_code": "134394740",
            "country_code": "US",
            "telephone_number": "315-868-9814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEAMON-SOPOSKI",
        "first_name": "NICOLE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "016420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.